Scantlebury Pediatrics PC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

208050 Issued in NY

Legal business name

SCANTLEBURY PEDIATRICS PC

Practice address

350 Central Park West
Suite 1C
New York, NY 10025-8842

Phone

(212) 749-6010

Fax

(212) 749-6011

NPI assigned

Apr 3, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Michele A Scantlebury, M.D.

Title

Owner

Phone

(646) 724-0150

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1333411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350259200000",
    "number": "1275899320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 270",
            "city": "MASSAPEQUA PARK",
            "state": "NY",
            "postal_code": "117620270",
            "telephone_number": "631-264-2035",
            "fax_number": "631-264-1418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 CENTRAL PARK WEST",
            "address_2": "SUITE 1C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100258842",
            "telephone_number": "212-749-6010",
            "fax_number": "212-749-6011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCANTLEBURY PEDIATRICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-03",
        "last_updated": "2012-10-15",
        "status": "A",
        "authorized_official_last_name": "SCANTLEBURY",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-724-0150",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "208050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isabel Scanlon, NPP
• Laura Lillian Scanlon
• Madeline Christine Scanlon, MD
• Michael Scanlon
• Lee E Scantalides, PT, DPT
• Gianna Domenique Scanzo-Masiero, LSW
• Lauren Jenay Scapin, RN
• Andromachi Scaradavou, MD
• Maureen Scaramell
• Carlene Scaravaglione, OTD, OTR/L

• Pediatrics Physician in New York, NY
• Providers in New York, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.